The normal aging process brings changes in the skin, decreased muscle tone, and loss of volume, producing a sagging of the tissues of the face and neck. This procedure has the main objective of giving the face a younger appearance. The current concept to solve it is a three-dimensional reconstruction, repositioning the tissues, providing the lost volume, and removing the excess skin.

Lifting Facial Dr Honorio Labaronnie

Reasons for surgery

During the normal aging process we can notice that the skin becomes flaccid, the muscles lose tone, and the volume of the face decreases, observing drooping cheeks and cheekbones, loss of jaw contour, deepening of the folds and excess skin and fat in the neck.

AGE 40 – 50: The ideal candidate, due to his incipient facial aging.
AGE 50 – 60: A good candidate for his lax skin and moderate jowls.
AGE 60 – 70: The right candidate, skin laxity is evident and widespread.
AGE 70+: A complex candidate, as it has great laxity and excess tissue.

How do we do it?

– It is performed under general anesthesia in the operating room.
– The surgery lasts between 3 and 4 hours.
– The skin incision extends in front of the sideburn, in front of and behind the ear.
– A bandage is placed that is removed the next day.
– After surgery, you will go to recovery where you will be discharged the same day of surgery.
– You should use a facial strip for a few days.

Mini facelift
– It is performed under local anesthesia and sedation in the operating room.
– Shorter surgical time. About 2 hours.
– More limited and shorter incisions.
– No drains are used.
– You can return home the same day of surgery.
– Minimal dissection decreases the risk of complications.
– Faster recovery. You will be able to incorporate more quickly into your social and work life.

Neck Lift
– Repairs sagging neck skin, fat accumulation in the chin, and loss of mandibular contour.
– It is usually combined with facelift and double chin liposuction.
– It is performed under general anesthesia in the operating room.
– The surgery lasts approximately 2 hours.
– No drains are left.
– It is ambulatory.
– You should use a facial strip for a few days.

What is the basis of the combined face and neck lift?

The combined cheek and neck lift reflects a modern understanding of facial anatomy. Individually reposition and sculpt sagging facial tissue to make patients appear like younger, rested versions of themselves.

What is the biology of facial aging?

The supporting tissue of the face is called SMAS and is in continuity with the neck muscle called platysma. As we age, we lose volume in our face, while the connective tissue of the skin and SMAS weakens. Facial tissues tend to sag over the jaw line, producing unwanted jowls, wrinkles, and folds. Similarly, these mechanisms cause excess skin and banding on the neck as the underlying muscle is unable to retain its youthful contour.

What is the difference between stretching and sculpting?

In an operation to restore facial appearance to its youthful version, attention should be paid not only to the skin, but particularly to the volume under it. Pulling the skin gives only an incomplete and temporary result. Sculpting is the repositioning of the underlying skin tissues that provides the appearance of an optimal facelift.

How does a facelift improve the neck?

As the Platysma muscle ages and its supporting structure weakens, it can form bands on the neck. As part of the facelift, the platysma muscle is tightened under the jaw and laterally in the neck, effectively providing a corset to reshape this area. In some patients, liposuction removes fat from the jowls to further contour this area.

How does the cheek age?

As we age, the youthful fatty tissue found over the cheekbone area droops. This tissue is called malar fat. The bright, youthful appearance of our cheeks is diminished as there is less volume above the apex of the cheekbones, and the sagging of malar fat can produce unwanted cheek shadows under the eyes. Volume loss also affects the fat in the lower part of the face, called the buccal region. This produces a hollower appearance, which is also a sign of aging. As midface volume loss progresses, the skin that used to smoothly cover the youthful face sags and worsens the shadow of the nasolabial fold.

What is the nasolabial fold?

The nasolabial fold is the border between the cheek, the nose and the lip. It is identified on the face as a deep line between the cheeks and the lips. The worsening occurs due to the loss of volume and elasticity in the cheek, and the flaccidity and fall of this tissue, forming a fold.

Are hyaluronic acid fillers effective?

A new-onset nasolabial fold can be treated with hyaluronic acid injectables and produce a youthful or even natural appearance. Nasolabial folds seem to get worse as we age because the cheek droops downward as we age, causing a worsening of the shadow in the fold. The solution to this problem is not to fill the area under the fallen tissue with hyaluronic acid, but to lift the cheek to its normal position.

How does the midface or cheek lift work?

The cheek lift reverses the signs of aging by suspending the area in its correct position, through well-concealed and limited incisions. Malar fat is repositioned to provide the beautiful contour we see on every magazine cover. The buccal tissue is further lifted, which reduces excess and laxity of the skin over the nasolabial fold and thus reduces the shadow of the nasolabial fold.